Individual
THOMAS A COFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Contact information
Practice address
302 STEVENS AVE, PORTLAND, ME 04103-2628
(207) 865-0443
Mailing address
PO BOX 164, FREEPORT, ME 04032-0164
(207) 865-0443
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC3739
ME
1041C0700X
Clinical Social Worker
Primary
LC10734
ME
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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